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Titolo:
IS GULF-WAR SYNDROME DUE TO STRESS - THE EVIDENCE REEXAMINED
Autore:
HALEY RW;
Indirizzi:
UNIV TEXAS,SW MED CTR,DEPT INTERNAL MED,DIV EPIDEMIOL,5323 HARRY HINES BLVD DALLAS TX 75235
Titolo Testata:
American journal of epidemiology
fascicolo: 9, volume: 146, anno: 1997,
pagine: 695 - 703
SICI:
0002-9262(1997)146:9<695:IGSDTS>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATION-DESERT-STORM; TRAUMA-RELATED SYMPTOMS; COMBAT-RELATED PTSD; POSTTRAUMATIC-STRESS; PERSIAN-GULF; FOLLOW-UP; RORSCHACH MEASURES; MISSISSIPPI SCALE; VIETNAM VETERANS; EVENT SCALE;
Keywords:
COMBAT DISORDERS; METAANALYSIS; PERSIAN GULF SYNDROME; PSYCHIATRIC STATUS RATING SCALES; SENSITIVITY AND SPECIFICITY; STRESS DISORDERS, POSTTRAUMATIC; STRESS, PSYCHOLOGICAL; VETERANS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
51
Recensione:
Indirizzi per estratti:
Citazione:
R.W. Haley, "IS GULF-WAR SYNDROME DUE TO STRESS - THE EVIDENCE REEXAMINED", American journal of epidemiology, 146(9), 1997, pp. 695-703

Abstract

Medical policy-makers have concluded that stress from wartime trauma and deployment constitutes an important cause of the chronic physical symptoms observed in US veterans who served in the Persian Gulf War, The author reviewed scientific articles from peer-reviewed journals referenced in the final report of the Presidential Advisory Committee on Gulf War Veterans' Illnesses and conducted a MEDLINE literature search, All reported prevalence rates of post-traumatic stress disorder (PTSD) in Gulf War veterans were defined by critical cutpoints on psychometric scales constructed by summing veterans' responses on standardizedsymptom questionnaires rather than by clinical psychiatric interviews, Observed PTSD rates varied from 0% to 36% (mean, 9%), Correcting formeasurement errors with previously determined values of the sensitivity (range 0.77 to 0.96) and specificity (range 0.62 to 0.89) of the psychometric tests yielded estimated true PTSD rates of 0% for 18 of the20 reported rates, Mean scores on the Mississippi PTSD scale in all subgroups of Gulf War veterans were within the range of values for well-adjusted Vietnam veterans (50-89) and far below that of Vietnam veterans with psychiatrically confirmed PTSD (120-140). Most PTSD and ''stress-related symptoms'' reported in studies of Gulf War Veterans appearto represent false-positive errors of measurement reflecting nonspecific symptoms of other conditions.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 06:31:54